Hazeldene

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was designed so to ensure there were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People were supported to receive safe care and treatment from a dedicated staff team. Risks were appropriately recorded and assessed highlighting when the risk was most likely to occur, and what action to take to prevent the risk from occurring. Details were also written on what action to take should the risk occur. These were reviewed regularly. Staff received training and had a thorough understanding of their duty of care to keep people safe from risk of harm and abuse. The Commission received reportable notifications

in line with requirements.

We found that medicines were administered safely. Staff medication training and competencies were up to date. Required learning was identified from accidents and near misses, with a trigger analysis being completed as required by the provider.

People were involved in all aspects of their care, as far as possible. Staff were trained and supported to ensure they had the necessary knowledge and skills to safely and effectively deliver care. The service proactively worked in partnership with external agencies, utilising their knowledge and skill to further develop staff expertise, and determine correct support for people.

People enjoyed a positive relationship with staff which was built on trust, dignity and mutual respect. People were encouraged to maintain their independence and celebrate their uniqueness. People were supported to maximise their dreams and supported to live their life the way they wished. Activities were designed around people's preferences and promoted integration in the community.

People were supported in the least restrictive way possible. Staff ensured people were given maximum choice and control of their lives and where decisions had to be made these were in their best interest. The provider's policies and procedures supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. Care plans were reflective of this and key worker sessions clearly documented the drive to achieve choice and independence for all people using the service.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.